Reporting and Analytics
An annual reporting system that provides standard information about quality performance and operations of health centers, regulated by the Health Resources and Services Administration (HRSA).
What is the Uniform Data Systems (UDS)?
This is a CMS-run program for accountable care organizations (ACO), who serve fee for service (FFS) Medicare patients. In this program the ACO will receive a portion of the dollars saved when cost of care is lowered while demonstrating high quality.
What is a Medicare Shared Savings Program (MSSP)?
This is the process of assigning patients to a Primary Care Provider/Practice responsible for delivering care and held accountable for the cost and quality of that care.
What is Attribution?
These are awesome "new" Epic tools with quality performance metrics by service area, department or provider.
What are the UDS Quality Measure Dashboards?
This is a clinically integrated network of Primary Providers owned and managed by 11 Iowa CHCs and the Iowa Primary Care Association.
What is Iowa Health+?
A network of health care practices accountable for the quality, appropriateness and efficiency of the health care provided with reimbursement tied to quality metrics and reductions in the cost of care.
What is an Accountable Care Organization (ACO)?
This data is used by the Health Resources and Services Administration (HRSA) to evaluate health centers performance across a set of quality measures and used to determine how funding is distributed among health centers nationally.
What is the Uniform Data Systems (UDS)?
A program focused on providing quality care to Medicare Advantage beneficiaries and requires a Care Coordination Assessment (CCA) be completed annually, addressing chronic conditions, care gaps, and wellness.
What is the Main Street Health partnership?
State Medicaid agencies contract with these organizations to deliver health care benefits to Medicaid beneficiaries.
What is a Managed Care Organization (MCO)?
A data set widely used in value-based payment models that measures performance in health care where improvements can make a meaningful difference in people's lives and is regulated by the National Committee of Quality Assurance (NCQA)/
What is Healthcare Effectiveness Data and Information Set (HEDIS)?
Iowa Health+ has negotiated Value-based payment agreements with these 3 Iowa Medicaid Managed Care Organizations (MCOs).
What are Iowa Total Care, Wellpoint, and Molina?
These ICD-10 coding groups are used to estimate the risk adjusted cost of care. The use of and accuracy of these codes are a key strategy of Value-based payment programs.
What is Hierarchical Condition Categories (HCC) Coding?